1912221029 NPI number — SHARON H ORNSTEIN, DDS, PA

Table of content: (NPI 1912221029)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912221029 NPI number — SHARON H ORNSTEIN, DDS, PA

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
SHARON H ORNSTEIN, DDS, PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RENAISSANCE ORAL & FACIAL SURGERY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912221029
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/18/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10 MEDICAL PKWY
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
972-243-5035
Provider Business Mailing Address Fax Number:
972-243-8574

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6351 N PRESTON RD
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
FISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75034
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-712-5035
Provider Business Practice Location Address Fax Number:
972-712-8574
Provider Enumeration Date:
03/18/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ORNSTEIN
Authorized Official First Name:
SHARON
Authorized Official Middle Name:
H
Authorized Official Title or Position:
OWNER/PHYSISIAN
Authorized Official Telephone Number:
972-243-5035

Provider Taxonomy Codes

  • Taxonomy code: 261QS0112X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)